| NPI | 1780355420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X (Licence: FL 5201577) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL 5201577) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2021-10-04 |